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Mr. Justin Leif Kennerly, PT
Pediatric Physical Therapist in Los Angeles, California
NPI 1699809848

Justin Leif Kennerly is a Pediatric Physical Therapist based in Altadena, CA and is specialized in Pediatrics. Justin Leif Kennerly practices in Los Angeles, CA and has the professional credentials of PT. The NPI Number for Justin Leif Kennerly is 1699809848 and holds a License No. 25910 (California).

The current practice location address for Justin Leif Kennerly is 4650 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 323-669-2118 and via fax at 323-663-0093.

Location: 4650 W Sunset Blvd, Los Angeles, CA, 91001-5502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699809848
Provider Name
Justin Leif Kennerly
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
4650 W Sunset Blvd, Los Angeles, CA, 91001-5502
Phone Number
323-669-2118
Fax Number
323-663-0093
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-669-2118
Fax Number
323-663-0093
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-669-2118
Fax Number
323-663-0093
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
25910 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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